Cost Effectiveness of Health

The 2021 outlook for hospitals: Reviews are mixed despite the large number of people already vaccinated in the United States

Most industry voices are predicting 2021 will be a financially challenging year for U.S. hospitals. But the outlook for some hospitals actually may be positive.

Gail R Wilensky, PhD June 1, 2021

Payer-provider economics: Preparing for the new frontier in healthcare

Payers and providers are increasingly creating strategic partnerships, with the intent of keeping pace in a rapidly transforming healthcare payment system that rewards value over volume.

John Poziemski May 22, 2021

As the Senate Finance Committee considers telehealth expansion, payment approaches are a key talking point

A congressional hearing featured testimony about why fee-for-service is not a viable way to fund a Medicare telehealth expansion.

Nick Hut May 20, 2021

A now-or-never moment for telehealth? Demand will remain strong as long as technology and the healthcare industry can meet it

Payers and providers adapted quickly to the need for telehealth services, and most patients responded in kind. Demand will remain strong as long as technology and the industry can meet it.

Hillary Bird May 3, 2021

Physician-friendly web technology can help hospitals grow revenue from ambulatory referrals

All too often, ambulatory orders from referring physicians do not result in delivered services and associated revenue for hospitals because of ineffective ordering processes. Hospitals can gain a competitive advantage ad avoid lost revenue by taking steps to simplify this process for both the referring physician and the patient.

Denny Phillips April 26, 2021

How healthcare organizations can leverage CDI to meet strategic goals amid times of financial uncertainty

Six trends related to the COVID-19 pandemic have created a need for healthcare organizations to adopt a new, strategic and data-driven approach to managing their clinical documentation integrity (CDI) programs.

James P. Fee, MD, CCS, CCDS April 26, 2021

Physician practice performance suffered during the 2020 pandemic year

Recent research shows that volatility driven by COVID-19 rocked physician practices throughout 2020, but there were signs of recovery toward the end of the year.

Cynthia Arnold April 26, 2021

From chaos to unity: 6 steps for building a compensation plan for employed physicians

When acquiring physician practices, health systems often develop employment arrangements on a case-by-case basis, leading to challenges due to the inconsistencies of multiple arrangements. A large physician practice’s effort to standardize its approach to compensating its employed physicians offer a case example of how to effectively address this problem.

Robin Nichols, CPA, MHA April 26, 2021

National Academy of Medicine paper explores transformation opportunities for health systems

Authored by leaders of four large health systems and two hospital associations, a new paper examines priorities for healthcare transformation from the perspective of care delivery organizations.

Nick Hut April 8, 2021

NFP hospital profitability plummeted in 2020 despite expense mitigation strategies, Moody’s reports

Profits were down in the not-for-profit and public healthcare sector in FY20, but management strategies helped to increase liquidity amid the COVID-19 pandemic.

Nick Hut March 30, 2021
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